国际放射医学核医学杂志
國際放射醫學覈醫學雜誌
국제방사의학핵의학잡지
INTERNATIONAL JOURNAL OF RADIATION MEDICINE AND NUCLEAR MEDICINE
2013年
2期
92-95
,共4页
肿瘤,未知原发灶%正电子发射断层显像术%体层摄影术,X线计算机%氟脱氧葡萄糖F18%脑转移
腫瘤,未知原髮竈%正電子髮射斷層顯像術%體層攝影術,X線計算機%氟脫氧葡萄糖F18%腦轉移
종류,미지원발조%정전자발사단층현상술%체층섭영술,X선계산궤%불탈양포도당F18%뇌전이
Neoplasms,unknown primary%Tomography,X-ray computed%Tomography-emission computed%Fluorodeoxyglucose F18%Brain metastases
目的 探讨18F-FDG PET/CT在查找原发灶不明的脑转移瘤中的价值.方法 回顾性分析17例原发灶不明的脑转移瘤患者的全身18F-FDG PET/CT检查资料.结果 17例患者均经活检确诊原发灶,准确率100％.原发性肺癌13例,占76％,其中有2例在第二次行PET/CT检查时才检出原发灶；原发性肝癌2例,占12％；原发性贲门癌1例,占6％；原发性升结肠癌1例,占6％.在检查到原发灶的基础上,18F-FDG PET/CT亦发现10例合并转移者,其中合并肺转移者2例、合并淋巴结转移者3例、合并骨转移者2例及合并其他部位转移者3例,共发现病灶61处；2例肝癌患者单发脑转移灶中均有脑卒中.结论 18F-FDG PET/CT在查找原发灶不明的脑转移瘤原发灶中有重要价值,并为临床分期及治疗提供有利帮助.
目的 探討18F-FDG PET/CT在查找原髮竈不明的腦轉移瘤中的價值.方法 迴顧性分析17例原髮竈不明的腦轉移瘤患者的全身18F-FDG PET/CT檢查資料.結果 17例患者均經活檢確診原髮竈,準確率100％.原髮性肺癌13例,佔76％,其中有2例在第二次行PET/CT檢查時纔檢齣原髮竈；原髮性肝癌2例,佔12％；原髮性賁門癌1例,佔6％；原髮性升結腸癌1例,佔6％.在檢查到原髮竈的基礎上,18F-FDG PET/CT亦髮現10例閤併轉移者,其中閤併肺轉移者2例、閤併淋巴結轉移者3例、閤併骨轉移者2例及閤併其他部位轉移者3例,共髮現病竈61處；2例肝癌患者單髮腦轉移竈中均有腦卒中.結論 18F-FDG PET/CT在查找原髮竈不明的腦轉移瘤原髮竈中有重要價值,併為臨床分期及治療提供有利幫助.
목적 탐토18F-FDG PET/CT재사조원발조불명적뇌전이류중적개치.방법 회고성분석17례원발조불명적뇌전이류환자적전신18F-FDG PET/CT검사자료.결과 17례환자균경활검학진원발조,준학솔100％.원발성폐암13례,점76％,기중유2례재제이차행PET/CT검사시재검출원발조；원발성간암2례,점12％；원발성분문암1례,점6％；원발성승결장암1례,점6％.재검사도원발조적기출상,18F-FDG PET/CT역발현10례합병전이자,기중합병폐전이자2례、합병림파결전이자3례、합병골전이자2례급합병기타부위전이자3례,공발현병조61처；2례간암환자단발뇌전이조중균유뇌졸중.결론 18F-FDG PET/CT재사조원발조불명적뇌전이류원발조중유중요개치,병위림상분기급치료제공유리방조.
Objective To investigate the value of 18F-FDG PET/CT in diagnosis of brain metastases from unknown primary tumor.Method The 18F-FDG PET/CT findings of 17 patients with brain metastases from unknown primary tumor were retrospectively analyzed.Results Primary tumors of the seventeen cases were confirmed by biopsy,the accuracy rate was 100％.There were thirteen cases with primary lung cancer,accounted for 76％,including two cases of lung cancer which were found in the second PET/CT examination,two cases with liver cancer,accounted for 12％,one case with cardia cancer,accounted for 6％,one case with the ascending colon cancer,accounted for 6％.On the base of founding the primary tumor,18F-FDG PET/CT also found 10 cases accompanied by lung metastasis (2 cases),lymph node metastases (3 cases),bone metastases (2 cases)and other sites of metastases (3 cases),a total of 61 lesions were detected.Two cases of liver cancer patients with single brain metastases had cerebral apoplexy.Conclusion 18F-FDG PET/CT contributes important value in finding brain metastases from unknown primary tumor,and is very helpful for clinical staging and treatment.
